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PERMITTEE NAME/ADORESSp~bF:WyNe.~/~rmle~, UDyc..,.r/
<br />NAME CYPk1J° YAyPA v.ALG?Y COAL ~ OfrP,
<br />ADDRESS,r'1INC.i 1,2,3 SOURR, $ F^. K,M AN PIT
<br />91 U:7 BAST MINERAL CIRCL°
<br />B9CLEYO~D CO 90155
<br />FACILIT`/
<br />LOCATION
<br />ATT`I: !!0i °IS J, rr~r.;LF.T, :;F.NgRA4 A2NY
<br />
<br />NATIONAL POLLUTANT DISCNMOE ELIMINATON SYSTEM INPDESI Form Approved.
<br />DISCHARGE MONITORING REPORT (OMRI , . ;, . ~ 1, r O B No ;~p 0004
<br />I-161 17-191 ~ '~~' ~, t ~ 711 blil`);L, ".-.. .,Fa
<br />~DD`1271)'3 704 A (='1AT ~'V) APProveL e~zD~~>}05=31-SS
<br />` PERMIT NUMBER DISCHMGENUMBER n _ FjNAL L
<br />MONITORING PERIOD "A ~QR
<br />YEAR MO DAY ~. YEAR MO DAV
<br />FROM ~P ~ -.TO ~" ~ ~ *~#O::.RO DT$CHARGE ) ~tc~
<br />126771 112-731 II4 [ /1617) /I8-Y9l 134311 NO~p: Rud imtructlons bNor mplNinp this form.
<br />PARAMETER /3 Grd Onlyl QUANTITY OR LOADING Grd Onlyl QUANTITY OR CONCE TRATION ~-NO, FREOUENOY SAMPLE
<br />/32-37) 166531 /50-5l1 I3e-45/ 146531 15461/ EX GP TYPE
<br /> AVERAGE MAXIMUM UN MINIMUM AVERAGE MAXIMUM UNITS
<br />162-a]I ANALYSIS
<br />/56-581
<br />/69-701
<br />PH SAMPLE #RA##C x#Fak: r, .-. ( T 2)
<br /> MEASUREMENT
<br />CU'l0U 1 J ) PERMIT #3RDxn POCt#'¢R. CIkA (Is,s.,.. +bsY#kkr,, 1,r pARI.Y :RA9
<br />}:F'FLUEtiT ~?OS~ Y!L!IS REQUIREMENT ~ {tKsSP !!'[:lrX1{fl~. - M{!T-{!>" SII
<br />SOLIDS, T^TAL SAMPLE .~x:x;:-'= a#'k#k'k 00+4** ( 14)
<br />S U :i P E K () F. C MEASUREMENT
<br />U53U J U C PERMIT .p#l..~.;« #fi##kis LL 4: :#IOII44r RF,P(loT Rf'POf"1' NCEI :RAR
<br />EE: CO`''7NT5 !t: LDi1 REQUIREMENT nrRR ~ ~ ~ ~ 3pDA A;r, "[?AT~LT •Tx 1G L M N H
<br />SOLIDS, Tf!TAL SAMPLE .. ... .?aa#• k3~>aPn ( 19)
<br />USPEtiDED MEASUREMENT
<br />US3D 1 U 7 PERMIT ;:k~k#,'. kt4h.Ak #G' }7k##+R4 35 7Q t N^F,/ :ASIt
<br />EFFLUENT GP.DSS YALIJE REQUIREMENT
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<br />3QCA"AfG
<br />QATtT hX
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<br />MONT!?
<br />SOL D5, SETLLF.A9LF; SAMPLE ~~~~=~:~ ^G:::Y ~^ 'e:`': ^:C:} ( ZS)
<br /> MEASUREMENT
<br />J!)ti4y D C C PERMIT :t;t'kY~x . :=P+k## .. ~?t,.(c:`.!: 4R1)()Vj' 7stj 1 N;.F/ .RAP
<br />~°F COirM°.NTS BE'L0~ REQUIREMENT r:t=::f "EOhA AYE DA?I.r '"C t!L/L l10NTN
<br />OLIDS, SETPLL"E.aL~ SAMPLE .f~R,~Y~ ':zaak; ±ar-r:t-: ( 75)
<br /> MEASUREMENT
<br />U~4S I n U PERMIT' t a#'7s .c4#aa .~ . -aar~ gF.POP.T 9fif0?? I HCF.! :AAA
<br />EFFLUENT GROSS VALUE REQUIREMENT 3f)4A AY°, 9•ATLY !!X ML/I. !lONT9
<br />IL D .;REASE SAMPLE 'z'-~.r. ,z~..;,;;_'- r.--~~- ...y.,. ( Lo)
<br />`RP.ON ERTR-CRAV YyT. MEASUREMENT
<br />OSS6 I U 0 PERMIT Ak##r# ~~OrC+ ,. :k-1s?;= .; Ott#t Tr• t 'ONTIN :RA9
<br />PFLUENT vROSS VALUE REQUIREMENT #:kx INS? "1AY nG/I. S?NT
<br />I , T T SAMPLE G3 :,<;t ~: r: r:prtk:. ;;gk•-rt .~ q
<br />( I )
<br />(A'i FE) MEASUREMENT
<br />104$ ~ C U PERMIT v ~ ~ O # Y #f•} ?#>tkA~ REPORT P°PO%'' NC'7/ iRA9 i
<br />EE CON:f ~N TS yPLDN REQUIREMENT R:Rx .3CDA AY!: pAT L" rY IyG/L ~gNTH
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFlCER I CERTIFY UNDER PENUTY OF UW 7HAT I HAVE PERSONALLY E%AMIN
<br />AM FAMILIM WITH THE INFORMATON SUBMITTED HEREIN
<br />AND BA FD AND
<br />SED ON TELEPHONE DATE
<br /> ;
<br />MY INQUIRY OF THOSE INDIVIDUAl4 IMMEDIATELY RESPONSIB LE FOR
<br />Richard Mflls OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMA TION IS
<br />
<br />Environmental Mana
<br />er TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THE
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<br />THE POSSIBILITY OF HNE AND IMP11150NMENT. SEE IB U.S.C. 1 1001 AND ]3 ON
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/rrsncs sl/stteehments here)
<br />ALf~ANAT? LI1IT~ FOR TES, IRON E SETTLRA9LE SOLIDS {IOC '7') APPLT 0'1 LT TF <_ !0-TR, 74-Ru PR°CLP PL'F,NT
<br />IS CLAI?t"D. SPE I.A.2, a: 1N, FOR 9JRDF.N DF PRJOF REZOI48~RNT`•, OTT. `: `:p'4Sf-SF:E POOTMDTe F/, P.~ '.
<br />~~ATP v c wOr r or n0rr r r co "e r'. c ~ T n..
<br />PA Form 5320.1 LOB-95) nPrsvious editions mey ba used. " IREPLACE6 EPA M 7.40 WHICH MAY NOT BE USED.F 0 009 5 /9 R C4 0 7-103 0 PAGE T OF
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